Kubwezeretsanso Pambuyo Opaleshoni Kwa Matenda a Crohn Ndi Amodzi
Kambiranani ndi aliyense yemwe ali ndi matenda a Crohn ndipo mwina akuchitidwa opaleshoni. Pafupi theka la odwala a Crohn akudwala adzachitidwa opaleshoni zaka khumi zoyambirira atatha kupeza matenda. Kugonjera kuchotsa minofu yodwala ndi yowonongeka, ndipo ikhoza kubwerezedwa pamene matendawa amabwerera m'magawo osiyanasiyana a matumbo. Matenda a Crohn angayambitse kuchepa kwa thupi, komwe kumatchedwanso mgwirizano, umene ungafunike mtundu wa opaleshoni wotchedwa strictureplasty.
Zovuta kuchokera ku matenda a Crohn monga abscesses kapena fissures zingafunike chithandizo ndi opaleshoni.
Kawirikawiri Crohn Amabwerera Patapita Opaleshoni
Mwatsoka, maphunziro angapo amasonyeza kuti zizindikiro za matenda a Crohn, kapena umboni wa matenda omwe angawoneke panthawi ya kukayezetsa, nthawi zambiri amabwereranso opaleshoni. Pamene matendawa abwera akudalira zifukwa zingapo.
Kafukufuku wina amasonyeza zinthu zokhudzana ndi kubwerera kwa zizindikiro zikuphatikizapo fistula yomwe imakhalapo nthawi zonse , matenda omwe amapezeka m'magazi ang'onoang'ono, opaleshoni yam'mbuyomu, matumbo ambiri okhudza matumbo, ndi kusuta. Ndipotu kusuta kumawoneka kuti ndi chinthu choopsa kwambiri. Kutalika kwa nthawi yomwe munthu wakhala ali ndi matenda a Crohn sikuwoneka kuti ndi chinthu choopsa pa kubwereranso pambuyo pa opaleshoni. Mbiri ya amayi ndi abambo sawonekeranso kuti sichikukhudzidwa pa matenda a Crohn pambuyo pa opaleshoni.
Kafukufuku wochepa anapeza kuti msinkhu wa matenda odwala matendawa komanso nthawi ya opaleshoni yoyamba ingagwirizanenso ndi matenda a Crohn pambuyo pochita opaleshoni.
Odwala achikulire, makamaka omwe ali ndi zaka zoposa 50, angakhale ndi chiopsezo chobwezeretsedwa. Kafukufuku wina samasonyeza kuti pali ubale pakati pa zaka ndi chiwopsezo chobwezera, kotero izo sizikudziwikabe ngati zaka ndizofunikira kwenikweni.
Kuchepetsa Mtengo Wa Kubwerera
Pali chiyembekezo pamapeto kuti chisamaliro cha opaleshoni ndi kubwerera.
Kafukufuku watsopano akuthandizira kuchepetsa vutoli la kubwereranso pambuyo pa opaleshoni. Kafukufuku wina amasonyeza kuti mankhwala ena omwe amagwiritsidwa ntchito pochizira matenda a IBD, monga mesalamine (Lialda, Apriso, Pentasa, Canasa, Asacol), azathioprine (Imuran, Azasan), ndi maantibayotiki ena angathandize kupeĊµa kubwerera kwa matenda pambuyo pa opaleshoni ya resection. Mankhwala a tizilombo monga Remicade ndi Humira adaphunziranso kuti agwiritsidwe ntchito opaleshoniyo, ndipo ingakhale yothandiza, makamaka atatha kugwiritsidwa ntchito m'magawo ena a m'mimba.
Kuwunika Kubwezera
Mbali yofunika kwambiri yogwira ntchito yoletsa kubwereza ndi kuyang'anira umboni wa Crohn's disease pambuyo pakuchita opaleshoni. Kugwiritsira ntchito njira zopanda mphamvu, monga capsule endoscopy kapena ultrasounds zosiyana, nthawi zambiri amakonda. Chifukwa kusuta kumagwirizanitsa kwambiri ndi kubwerera kwa zizindikiro, sitepe yofunika imene odwala angatenge kuti iteteze Crohn's kuti abwerere atatha opaleshoni ndiyo kusiya kusuta.
Zotsatira:
Bernell O, et al. "Zizindikiro zoopsa za opaleshoni ndi kuchitidwa opaleshoni pambuyo pa Crohn's disease." Ann Surgery January 2000; 231: 38-45.
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P Rutgeerts, M Hiele, K Geboes, M Peeters, F Penninckx, R Aerts, ndi R Kerremans. "Kuyesedwa kolamulidwa ndi mankhwala a metronidazole pofuna kupewa Crohn kubwerera pambuyo pa leal resection." Zosangalatsa 108: 1617-1621.
Yamamoto T, Watanabe T. "Njira zothandizira kupewa matenda a Crohn's postoperative." Colorectal Dis . 2013 Dec; 15 (12): 1471-80. lembani: 10.1111 / codi.12326.